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OnabotulinumtoxinA for Trigeminal Neuralgia Treatment Trigeminal neuralgia (TN), as defined by the International Classification of Headache Disorders, 3rd edition, is a chronic and debilitating facial pain disorder that presents with recurrent paroxysms of sudden, severe, unilateral electric shocklike pain in the distribution of 1 or more divisions of the trigeminal nerve

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